A rare case of rickettsial infection presented as febrile delirium in a 4 years old child

A rare case of rickettsial infection presented as febrile delirium in a 4 years old child from a government hospital, Andhra Pradesh, India: G S Rama Prasad, Suhasini Mekala, Naresh Gadagani



Journal of Dr. NTR University of Health Sciences 2019 8(4):272-275



We report here a documented case of Febrile delirium in a child caused by Rickettsiae. Rickettsial infection is a relatively under-diagnosed entity in children with fever and rash, probably due to low index of suspicion and the lack of definitive diagnostic facilities. Rickettsial infections can be treated effectively with anti-microbials. Developing countries may use Weil Felix test as a diagnostic method, if they remain undiagnosed and untreated, they are associated with significant morbidity and mortality. This differential diagnosis should be considered when a child is seen with fever and rash.